<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<%@ taglib prefix="s" uri="/struts-tags"%>

<html>
<head>    
 <title>病人基本信息编辑</title>
 <link rel="stylesheet" type="text/css" href="/healthDoc/css/myStyle.css">
</head>
  
<body>
	<div style="margin:20px 50px 0px 200px; border: dashed 1px  #777">
		<h5>病人基本资料：</h5>
		<form action="PatientEdit" method="post">
		<div style="height:130px">
			<table class="patientInfo">
				<tr>
					<td width="65px" align="right"><font size="2px">姓名*:</font></td>
					<td width="40px">
						<input class="txt" type="text" size="15" 
							name="patientName" value="${patient.patientName}" /> 
					</td>
					<td width="50px" align="right"><font size="2px">年龄*:</font></td>
					<td width="60px">
						<input class="txt" type="text" size ="2" 
							name="patientAge" value="${patient.patientAge}" /><font size="2px">岁</font> 
					</td>
					<td width="50px" align="right"><font size="2px">性别*:</font></td>
					<td width="100px">
						<s:radio list='#{1:"男", 0:"女"}' 
							name="patientSex" value="%{patient.patientSex}" theme="simple"/>
					</td>
					
					<td width="85px" align="right"><font size="2px">*健康档案号:</font></td>
					<td width="45px">
						<input class="txt" type="text" size ="10" 
							name="patientDoc" value="${patient.patientDoc}" />
					</td>
					
				</tr>
				<tr>
					<td align="right"><font size="2px">家庭地址:</font></td>
					<td colspan="3"><input class="txt" type="text" size="36" 
										name="patientAdd" value="${patient.patientAdd}" /></td>
					<td align="right"><font size="2px">邮编:</font></td>
					<td><input class="txt" type="text" size ="10" 
							name="patientZip"  value="${patient.patientZip}" /></td>
					<td align="right" width="55"><font size="2px">电话:</font></td>
					<td><input class="txt" type="text" size="10" 
							name="patientTel" value="${patient.patientTel}" /></td>
				</tr>
				<tr>
					<td align="right"><font size="2px">工作单位:</font></td>
					<td colspan="7"><input class="txt" type="text" size="36" 
										name="patientOffice" value="${patient.patientOffice}" /></td>
				</tr>
				<tr>
					<td align="right"><font size="2px">身份证*:</font></td>
					<td colspan="5"><input class="txt" type="text" size="36" 
										name="personId" value="${patient.personId}" /></td>
					<td><input type="hidden" name="patientId" value="${patient.patientId}" /></td>
				</tr>
			</table>
		</div>
		<div align="center">
			<input type="submit" value="保存">
		</div>
		</form>
	</div>
  </body>
</html>
